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Home Health Services

Our goal is to help patients stay as safe, healthy and independent as possible in their own homes. Whether referred by a physician or by calling Home Health United directly, our staff will help you determine the services that meet your needs.

The patient is the focus of our home care team. Our team offers a wide range of services to meet almost any health care need from pediatrics to geriatrics. The physician plays an integral role in the home care team of Home Health United. From the information the patient and physician provide, our staff create a plan of care to help meet health care goals and facilitate recovery. We'll then recommend services to meet those needs and help you obtain any medical equipment necessary. We also explore funding options and additional support needed.

Our staff are carefully screened and trained so patients feel comfortable, safe and secure as they care for you in the home. Visits are usually scheduled in advance and according to the patient’s needs. We are Medicare and Medicaid certified and are members of the National Association for Homecare and Hospice, National Hospice and Palliative Care Organization, and the Visiting Nurse Associations of America.

Here is what the physician contributes to home care:

  • Determines eligibility for home care
  • Authorizes initial assessment for home care
  • Collaborates with the inter-disciplinary team to develop the 'Plan of Care'
  • Authorizes medical necessity of services and treatments
  • Communicates to the team changes in condition, or Plan of Care, throughout the treatment period
  • Works with the team to enable the patient to remain in their home whenever possible
  • Continues to assess patient at regular intervals throughout the treatment period
  • Participates in discharge planning

Skilled Nursing

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All patients are assigned a registered nurse case manager, who coordinates with all other disciplines and the physician in the development of the specific patient’s plan of care. 

Nurses provide comprehensive care for pediatrics to geriatrics in a variety of areas:

  • pain and symptom management
  • medication instruction and management
  • surgical aftercare
  • infusion therapy
  • wound and ostomy care
  • incontinence management and catheter care
  • anti-coagulation therapy
  • disease management and self care of chronic conditions which may include the following:
    • diabetes
    • cardiovascular (heart failure)
    • respiratory ( COPD and emphysema)
    • oncology
    • renal failure
    • neurologic disorders (MS and Parkinson’s disease)
  • A Pediatric Nurse Practitioner provides specialty home care for newborns and young children.

Infusion Therapy 

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Home Health United has a large and experienced nursing team skilled in providing various drug therapies to patients at home for curative and palliative needs. Our team will provide education about the therapy prescribed by the physicians. In addition 24-hour support services for questions, concerns, and critical needs is always available to you. Many of the infusion services provided by Home Health United are listed below:

  • Total parenteral nutrition (TPN)
  • Antibiotic / anti-infective Therapy
  • Pain management
  • Chemotherapy
  • Hydration therapy
  • Anti-emetic therapy
  • Placement and/or care of catheters
  • Injection therapy (including subcutaneous and intramuscular)

Medical Social Services

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Home Health United social workers play a vital role in the patient-care team. After a patient is admitted to home health services, a medical social worker may:

  • conduct a thorough psychosocial assessment to help determine patient needs and identify any limitations, barriers, or safety issues that might impede recovery
  • educate patients and families regarding community resources and support
  • long range planning including advance directives, and overall care options.

Their services may include:

  • Long range planning
  • Education regarding alternative living arrangements
  • Case management
  • Advance directives (Power of Attorney for Health Care or Living Will)
  • Community resource planning and coordination
  • Short-term therapy
  • Crisis intervention
  • Financial assessment
  • Counseling with life-style changes
  • Teaching regarding coping with loss and change
  • Grief counseling

Physical Therapy

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Physical therapists assess patients’ musculoskeletal system and educate patients/families on safety and mobility.
Services physical therapists provide may include:

  • Comprehensive assessment and treatment
    • Pain
    • Strength
    • Range of Motion
    • Balance
    • Functional mobility
    • Gross motor coordination
    • Sensation
    • Edema
    • Transfer training
  • Educate patients and caregivers
  • Develop home exercise programs
  • Assess patients’ needs for assistive devices
  • Provide specialized individual care
  • Work on treatment of incontinence
  • Wound care
  • Pain management
  • Fall risk reduction, through balance training and recommendations on safety
  • Patient education
  • Specialized care
    • manual therapy (massage, myofascial release)
    • wound care
    • modalities
      • heat/cold treatment
      • electrical stimulation
      • ultrasound

Occupational Therapy

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Occupational therapists evaluate the patient’s ability to perform activities of daily living, determine hindrances to independence and develop programs that help restore function. The evaluation includes identifying hindrances such as muscle strength, decreased coordination, or inability to bend or reach without losing balance. They provide a program to address these issues and help patient’s adapt to the environment as necessary.

Patients who have had a stroke or cardiac episode, spinal cord injury, orthopedic surgery or arthritis can all benefit from occupational therapy services. The physician can make the determination of the patient will benefit from occupational therapy.

Comprehensive Assessment and Treatment may include:

  • Home Safety
  • Pain assessment and management
  • Upper extremity strength and range of motion
  • Bathing
  • Dressing
  • Grooming
  • Toileting
  • Coordination
  • Vision and perception
  • Cognition
  • Sensation
  • Home exercise program
  • Patient education
  • Work simplification
  • Energy conservation
  • Joint protection
  • Adaptive equipment assessment and instruction
  • Independent living training
  • Homemaking
  • Laundry
  • Cooking/meal preparation
  • Specialized Care
    • Lymphedema treatment
    • Allen cognitive level assessment and instruction

Speech Therapy

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Home Health United speech and language pathologists provide skilled clinical services through evaluation and treatment of a variety of communication problems resulting from developmental delays, accidents, disease or illness. They also work with family members and other caregivers to provide strategies to facilitate and maintain functional communicative competence. Therapists help improve swallowing skills and teach compensatory strategies that help reduce the risk of aspiration pneumonia, maintain adequate nutrition and hydration.


Comprehensive Assessment and Treatment may include:

  • Home Safety
  • Speech
  • Language
  • Dysphagia (swallowing)
  • Cognition
  • Adaptive speech devices
  • Aural (hearing) rehabilitation
  • Non-oral communication
  • Home speech and language exercise program
  • Patient education
  • Communication options/alternatives
  • Eating and swallowing strategies

Home Health Aides

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Under the supervision of a registered nurse, certified home health aides assist with activities of daily living. Home Health Aides are able to assist with the following:

  • Bathing
  • Skin care
  • Oral hygiene
  • Nail care
  • Home exercise program
  • Ambulation
  • Simple wound care
  • Bowel program
  • Catheter care
  • Light meal preparation.

Homemaker / Companion Caregiver

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Home Health United’s Homemaker / Companion Caregivers provide the following services to elderly and disabled persons in their homes:

  • Assistance with personal care
  • Laundry
  • Housekeeping
  • Grocery shopping
  • Meal preparation
  • Medication reminders
  • Exercise
  • Program reminders
  • Transportation to appointments
  • Play cards
  • Write letters
  • Read to individuals

*Dane, Columbia, Sauk Counties only.

For more information, contact our Homemaker / Companion Caregiver program at (608) 276-7587.

 

Meals on Wheels

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Volunteers deliver hot, nutritious, mid-day meals to homebound elderly and disabled people in Madison, Middleton, and Monona. These Meals can be physician-ordered specialized diets.

The HHU Meals on wheels Program is supported by funds from Dane County Human Services, United Way of Dane County and HHU Meals on Wheels donors.

  • 365 days a year.
  • Seven days a week.
  • Each meal includes: a protein, a starch, a vegetable, a salad, a bread item, a desert, and a carton of milk or juice.
  • Prescription diets are available.
  • Funds may be available to subsidize meal changes if you are unable to afford the entire cost.
  • Meal service can usually begin with 24-hour notice

Click here for a printable coupon to try meal free

Menus

Volunteers

For more than thirty years volunteers have delivered nutritious noontime meals to homebound individuals in Madison, Middleton, and Monona. They also provide a social interaction and a safety check for these clients during the day. Routes are available seven days a week. You may pick up meals between 10:45 and 11:30 am at one of the convenient locations. Delivery takes approximately one hour and you must use your own vehicle There are Meals on Wheels volunteer opportunities for businesses, churches, synagogues, social clubs and individuals. You can deliver as often as you like. For more information call 276-7582 or email

Download our volunteer application

Download our volunteer handbook

*Madison, Monona, Middleton only.

Home Telemonitoring

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The Honeywell HomMed Health Monitoring System is a hospital-grade medical device that collects patient vital signs daily, providing patients with a secure and consistent connection to HHU clinicians. If information collected indicates a need for intervention, or if the user fails to collect vital signs when prompted, appropriate action is taken and members of the care team may be contacted.

The HomMed Health Monitoring System is easy to use, and takes only three minutes to collect patient vital signs from the comfort of home. At a prescribed time each morning a user-friendly voice guides patients through a step-by-step process to measure the following vital signs:

  • Blood pressure
  • Temperature
  • Pulse rate
  • Respiratory rate
  • Weight
  • Glucose levels
  • Pulse oximetery (oxygen level)
  • Electrographic heart signals

Patients can also be asked up to 50 subjective health-related questions to which the answer is yes or no. These questions help complete the overview of the patient's health status. Instructions and questions can be spoken in 12 different languages, allowing non-English speakers to use the monitor.

Cost of the HomMed system is typically covered by Medicare as a part of the plan of care. HomMed systems may also be leased by patients under a private pay agreement.

Nutrition

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The HHU Enteral Program helps children and adults meet their nutritional needs that cannot be met with food and drink. Enteral feeding is a form of nutrition delivered into the digestive system via tubes placed through the nose into the stomach or small intestine or they can be surgically placed in the abdomen, depending on how long it will be used.

A registered dietitian provides nutritional assessment, counseling and recommendations for treatment. The dietitian also coordinates and evaluates individual enteral programs to ensure nutritional needs are met.

Starting with a physician referral, the registered dietitian completes the authorization and confirms the orders. Although initial formula type or rate of administration are ordered by the physician, she can reassess patient needs and tolerance to the tube feeding regimen and make further recommendations to the physician.

Whether the patient needs 100 percent nutrition or a supplement in children, services depend on diagnosis and insurance reimbursement. Our registered dietitian will verify each patient’s insurance benefits for supplements to promote growth and sustain life in children or 100 percent nutrition delivered via tube.

A registered dietitian:

  • Provides nutritional assessment, counseling, recommendations for treatment
  • Coordinates and evaluates individual enteral programs to ensure nutritional needs are being met
  • Coordinates patient education in use of enteral pumps

Clients include:

  • Infants needing special formulas
  • Long-term pediatric patients who may have medical conditions or birth defects that impair their nutritional status
  • Swallowing difficulties
  • Effects of cancer and cancer treatments
  • Conditions such as multiple sclerosis or ALS
  • Patients with renal (kidney) disease